Misconceptions About Working in Correctional Psychiatry.
The journal of the American Academy of Psychiatry and the Law
Incarcerated individuals have high rates of mental disorders and substance use disorders compared with the general population, yet correctional facilities in the United States have difficulty recruiting mental health professionals. This has led to shortages in the availability of clinicians who can provide psychiatric care in these settings. During training and in practice, mental health professionals may develop misconceptions about correctional psychiatry that deter them from the field. This article examines common misconceptions about working in correctional psychiatry, including that correctional psychiatry provides unnecessary care to criminals, supports mass incarceration, is dangerous work, represents a less respectable subspecialty, and excludes clinicians from teaching and research opportunities. This article seeks to provide a resource for mental health professionals considering working with incarcerated patients.
View details for DOI 10.29158/JAAPL.003921-20
View details for PubMedID 32051202
Antipsychotics for delirium-the consent conundrum
2020; 7 (2): E5
View details for Web of Science ID 000508646500001
When Patients Appear in the News: Clinical Considerations for Mental Health Professionals.
Harvard review of psychiatry
News media have proliferated across digital platforms, print, radio, television, and other outlets, and mental health professionals may unintentionally learn information about their patients from these sources. Although these kinds of discoveries can pose complex clinical challenges to mental health professionals, there is hardly any literature on this topic, and clinicians may feel alone when facing these situations. Using several case examples, this article examines ways in which mental health professionals might learn about their patients from news media, as well as the potential effects of these discoveries on the practice of psychiatry. This article also offers suggestions for research and for training opportunities that would help prepare mental health professionals for encountering news coverage about their patients.
View details for DOI 10.1097/HRP.0000000000000245
View details for PubMedID 32053528
- Overdose Reversals Save Lives-Period. JAMA psychiatry 2020
- Intervene or Innovate: a Dilemma for Psychiatrists-in-Training. Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry 2020
- Federal Barriers to Addressing the Opioid Epidemic. Journal of general internal medicine 2020
Supporting the Use of Medications for Addiction Treatment in US Drug Courts: Opportunities for Health Professionals.
Journal of addiction medicine
: Drug courts are specialty courts that offer treatment services as alternatives to incarceration for defendants struggling with problems related to substance use. These courts have become major access points in the United States for the treatment of substance use disorders, but drug court participants often have limited access to medications for addiction treatment (MAT). A growing chorus of advocates and organizations have called for expanding access to MAT in drug courts, and health professionals may wonder how to join in these efforts. This article reviews practical ways in which individual health professionals might support access to MAT in drug courts, including working with drug courts, fighting public stigma against MAT, contributing to research on MAT in drug courts, and expanding addiction training among clinicians.
View details for DOI 10.1097/ADM.0000000000000583
View details for PubMedID 31688147
Problem-Solving Court Policies on Cannabis Use.
The journal of the American Academy of Psychiatry and the Law
Problem-solving courts have developed across the United states to offer specific offenders, including those with substance use or mental disorders, alternatives to incarceration that often involve community-based treatment services and judicial supervision. At the same time, dozens of states have legalized the use of cannabis for medical or recreational purposes, even as cannabis use remains illegal under federal law. State legalization of cannabis use has introduced legal and medical complexities for problem-solving courts, particularly concerning the management of offenders who use cannabis. This article reviews implications of cannabis use for defendants' eligibility and participation in problem-solving courts, with a focus on adult drug courts and mental health courts. This article also examines a range of policies, such as abstinence-based, tolerance-based, and adaptive approaches, that problem-solving courts may consider implementing. Further research is needed to characterize existing problem-solving court policies toward cannabis use and to develop evidence-based practices that courts may follow.
View details for DOI 10.29158/JAAPL.003883-19
View details for PubMedID 31533992
"Use the Back Door": Treating Incarcerated Patients in Community Mental Health Facilities.
Psychiatric services (Washington, D.C.)
Incarcerated individuals are a vulnerable population who face not only high rates of mental disorders, substance use disorders, and other chronic medical conditions but also widespread social stigmatization. These patients occasionally present for treatment in community health care settings, including mental health facilities, where staff that do not often provide care for incarcerated patients may be unprepared for their visits. This column examines whether treatment of incarcerated patients should be managed differently than treatment of other patients at community mental health facilities and provides suggestions for clinical management.
View details for DOI 10.1176/appi.ps.201900344
View details for PubMedID 31434560
- The Psychiatrist Writing for Popular Media ACADEMIC PSYCHIATRY 2019; 43 (3): 280–84
- Requiring Buprenorphine Waivers for Psychiatry Residents ACADEMIC PSYCHIATRY 2019; 43 (1): 131–34
- Physicians Talking With Their Partners About Patients. JAMA 2019
- Educating Physicians About Marijuana. JAMA internal medicine 2019
Variations in Application Instructions for Forensic Psychiatry Fellowships.
Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
In this study, the authors examined the consistency and the transparency of application instructions for forensic psychiatry fellowships in the USA.The authors collected the names of US forensic psychiatry fellowships listed in the Directory of Forensic Psychiatry Fellowships maintained by the American Academy of Psychiatry and the Law. Using data from active fellowship websites, the authors extracted for each program: (1) timelines for applications and interviews, (2) whether an application form was supplied, and (3) the presence of specific application requirements (e.g., curriculum vitae, personal statement, letters of recommendation, residency training director evaluations, writing samples).Among 45 fellowship websites, 31 (68.9%) did not provide specific dates or months when their application cycle opened, nor did they indicate whether they accepted applications on a rolling basis. Fourteen (31.1%) did not have an application form, and 8 (17.8%) did not list application requirements. Among 37 programs that listed specific requirements on their websites, 36 (97.3%) required a curriculum vitae or letters of recommendation, 35 (94.6%) required a personal statement and/or letter of interest, and 27 (73.0%) required writing samples and/or evaluation materials from residency program directors.This study found considerable variations among online application instructions for US forensic psychiatry fellowships. Although many factors shape recruitment into forensic psychiatry fellowships, improving the consistency and the transparency of application instructions might decrease stress related to the application cycle and streamline recruitment into the field.
View details for DOI 10.1007/s40596-019-01128-5
View details for PubMedID 31732886
- My Grandmother, the Doctor. Annals of internal medicine 2019; 171 (7): 518
Pass It On.
Annals of internal medicine
2018; 169 (11): 814
View details for PubMedID 30508441
Behavioral Health Policy for Human Spaceflight
AEROSPACE MEDICINE AND HUMAN PERFORMANCE
2018; 89 (12): 1068–75
INTRODUCTION: Government space agencies and commercial spaceflight companies are seeking to expand human space exploration. Spaceflight can place considerable psychological stressors on humans, yet policies to support behavioral health in human spaceflight are still in their nascent stages. This article reviews international and domestic space policy relevant to behavioral health, as well as existing gaps in policy frameworks regarding the behavioral health of spaceflight crew and passengers. This article highlights behavioral health policy for human spaceflight as an emerging issue and suggests principles to guide the development of such policy moving forward.Morris NP. Behavioral health policy for human spaceflight. Aerosp Med Hum Perform. 2018; 89(12):1068-1075.
View details for DOI 10.3357/AMHP.5147.2018
View details for Web of Science ID 000451675400007
View details for PubMedID 30487027
- Media-Related Education in Psychiatry Residency Programs ACADEMIC PSYCHIATRY 2018; 42 (5): 679–85
- Legal Hearings During Psychiatry Residency JOURNAL OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW 2018; 46 (3): 351–58
- Taking Legal Histories in Psychiatric Assessments PSYCHIATRIC SERVICES 2018; 69 (7): 748–50
- Internet Access for Patients on Psychiatric Units JOURNAL OF THE AMERICAN ACADEMY OF PSYCHIATRY AND THE LAW 2018; 46 (2): 224–31
When Mind Deforms Body
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
2018; 319 (16): 1659–60
View details for PubMedID 29710169
Keep Hospitals Weapons-Free
2017; 316 (1): 8
View details for Web of Science ID 000390620300011
- A to-do list for the next US surgeon general. JAMA internal medicine 2014; 174 (2): 177–78
- The neglect of nutrition in medical education: a firsthand look. JAMA internal medicine 2014; 174 (6): 841–42